| NPI | 1003955337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A BAILEY Chief Executive Officer 276-889-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2011-01-06 |